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Updated: Dec 9, 2025
09:57
A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
Published on: July 13, 2019
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Improving practice in accessing haemodialysis central venous catheters
Jean Barrett1, Leanne Millar1, Deepa Athavale1
1Royal Hospital for Children, Glasgow, Scotland.
Nursing Children and Young People
|September 14, 2020
Summary
Pediatric hemodialysis units reviewed central venous catheter (CVC) access practices to reduce infection rates. Standardizing CVC care and implementing targeted training improved patient safety and minimized complications in pediatric renal replacement therapy.
Area of Science:
- Pediatric Nephrology
- Renal Replacement Therapy
- Infection Control
Background:
- Hemodialysis in children necessitates central venous catheter (CVC) use for renal replacement therapy.
- Regular CVC access for dialysis and blood sampling poses infection risks.
- Concerns regarding CVC infection rates prompted a review of current practices in a pediatric unit.
Purpose of the Study:
- To investigate variations in CVC access and blood sampling practices across UK pediatric hemodialysis units.
- To identify areas for improvement in CVC care to minimize infection risks.
- To implement changes in CVC access guidelines and training programs.
Main Methods:
- A questionnaire survey was distributed to all UK pediatric hemodialysis units.
- Practices related to CVC access and blood sampling were compared.
- A new competency-based training program for CVC access was developed for nursing staff.
Main Results:
- Significant variations in CVC access practices and staff training were identified across units.
- The study unit modified its CVC access guidelines and blood sampling techniques.
- A specialized training program for 'hemodialysis CVC access only' was implemented.
Conclusions:
- Reviewing and comparing practices between pediatric hemodialysis units is crucial for enhancing patient safety.
- Standardized CVC access guidelines and targeted training can reduce infection rates.
- Collaborative practice review facilitated the implementation of improved CVC care protocols.
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